| NPI | 1306954243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAILPERIN Managed Care 732-293-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-08-01 |